once I said it, I realized it's a question I would have hoped to not ever ask Ian. Ian's dermatologist called to say that his biopsy from his mole looks to be melanoma. It took a few extra people to review it and confirm. He has recommended us to a doctor in Pittsburgh who will take additional samples to confirm it is cancerous and then check the nearest lymph nodes.
Ian asked for prayer that he would be ok and that the doctors and nurses would have wisdom. I'll add the prayer that this would be an isolated incident.